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A 2-month-old infant is brought to the clinic by parents who report poor feeding, excessive sweating during feeds, and difficulty breathing. On examination, you note a harsh, holosystolic murmur at the left lower sternal border, and the infant's heart rate is 160 beats per minute. Which of the following congenital heart defects is most likely responsible for these findings?

A. Atrial septal defect (ASD)
B. Ventricular septal defect (VSD)
C. Patent ductus arteriosus (PDA)
D. Tetralogy of Fallot (TOF)
E. Coarctation of the aorta